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Impact Of Educational Intervention On Inhaler Techniques: A Pilot Study

机译:教育干预对吸入器技术的影响:一项初步研究

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Introduction Poor adherence to the prescribed medication regimen is a critical care concern world-wide for healthcare providers. Educating patients about their disease state and medications will improve the patient knowledge regarding medications and can increase thecompliance in therapy.1 It is well documented that safe and effective drug therapy most frequently occurs when patients are well informed about their medications.2 Patient counseling is a form of interpersonal communication in which the pharmacist discusses with the patient about the disease, medicines prescribed to treat it, as well as lifestyle modifications,. is Hence, it is critical in achieving the desired outcomes of pharmaceutical care. Several counseling guidelines have been established 3,4 to achieve those therapeutic outcomes. In case of asthma and chronic obstructive pulmonary disease (COPD), inhaler medications are popularly used for their convenience, effectiveness and less side-effects. Improper use of inhalers is one of the major causes of non-compliance among these patients.. The incorrect use of inhalers will lead to suboptimal treatment. This has been demonstrated to occur in upto 75% of patients using metered-dose inhalers.6 Therefore, the objectives of the study are to evaluate patient knowledge regarding usage of inhalers and to find the impact of patient counseling regarding proper use of inhalers as per the criteria established by the National Asthma, Education and Prevention Program (NAEPP) e developed by the National Institutes of Health, USA. Study The study was carried out in the Medication Counseling Center, Out-Patient Department of Manipal Teaching Hospital, Pokhara, Nepal for a period of 60 days.Patients with respiratory disorders using inhalers who visited the medication-counseling center was included in our study. Patients admitted to the hospitals patients with mental disorders and family members of a patient who came to the Counseling Center to pick up medications were excluded from the study.Prescription of the patients and questionnaire based interviews based on NAEPP criteria were used as data sources..At first, the baseline knowledge about the use of inhalers among the participants was assessed with the help of a questionnaire.. Then, the education intervention was done by educating the patients about proper use of inhaler based on NAEPP criteria. Finally, post counseling knowledge was assessed again by using the NAEPP criteria. Results A total of 9 patients in the age range 16-70 years were enrolled I nthe study. . Majority of the patients (5 patients) belonged to the age group 61-70 yrs., There were 5 female and 4 male patients. Six patients have COPD s and the rest have asthma. The medications used by the patients were salbutamol, ipratropium and beclomethasone.Findings from the study is summarized in Table 1
机译:简介对处方药方案的依从性差是全球医疗保健提供者关注的关键问题。对患者进行疾病状态和药物治疗教育可以提高患者对药物的了解,并可以增加治疗的依从性。1众所周知,当患者对药物有充分了解时,安全有效的药物治疗最经常发生。2患者咨询是一种人际沟通的一种形式,药剂师与患者讨论疾病,处方药以治疗疾病以及改变生活方式。因此,对于达到理想的药物治疗效果至关重要。已经建立了一些咨询指南[3,4],以实现这些治疗结果。在哮喘和慢性阻塞性肺疾病(COPD)的情况下,吸入器药物因其便利性,有效性和较少的副作用而被广泛使用。吸入器使用不当是这些患者不依从的主要原因之一。不正确使用吸入器将导致治疗效果欠佳。事实证明,使用定量吸入器的患者中多达75%发生这种情况。6因此,本研究的目的是评估患者对吸入器的使用知识,并根据正确使用吸入器的方法寻找患者咨询的影响由美国国立卫生研究院制定的国家哮喘,教育和预防计划(NAEPP)建立的标准。研究在尼泊尔博克拉市手足教学医院门诊部药物咨询中心进行了为期60天的研究。本研究纳入了使用吸入器的呼吸系统疾病的患者,该吸入器访问了药物咨询中心。该研究排除了入院的患有精神疾病的患者以及来咨询中心接受药物治疗的患者的家属,该患者的处方和基于NAEPP标准的基于访谈的访谈被用作数据来源。首先,通过问卷调查的方式评估参与者中有关吸入器使用的基础知识。然后,通过根据NAEPP标准教育患者正确使用吸入器的方法来进行教育干预。最后,通过使用NAEPP标准再次评估了咨询后的知识。结果本研究共纳入9例16-70岁的患者。 。多数患者(5例)属于61-70岁年龄段,其中女性5例,男性4例。 6名患者患有COPD,其余患者患有哮喘。患者使用的药物为沙丁胺醇,异丙托溴铵和倍氯米松。该研究结果总结于表1中。

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